Middlebelt Patriots | Membership Registration

Personal Information

Full Name

Sex

Nationality

State of Origin

LGA

Ward

State of Residence

Ethnic Group

Means of Identity

NIN Number

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Highest Qualification

Occupation

Political Party Affiliation

Reason for Joining

Contribution to MBP

I undertake to obey all Middlebelt Patriots Rules and Regulations.

I accept to be of good behavior and uphold the group's values.

Membership Type

₦1,000

₦500